87903 — Phenotype DNA HIV W/culture
Cite this view
HANK Price Transparency. (n.d.). PHENOTYPE DNA HIV W/CULTURE (CPT 87903) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/87903?code_type=CPT
“PHENOTYPE DNA HIV W/CULTURE (CPT 87903) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/87903?code_type=CPT. Accessed .
“PHENOTYPE DNA HIV W/CULTURE (CPT 87903) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/87903?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $489–$1,196 (25th–75th percentile) across 1,850 hospitals · 5,021 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 87903 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $4,772.38 | $2,386.19 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $4,772.38 | $2,386.19 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | HMO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | HMO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Florida Health Care Plan | All Products | $5.00 | $1,466.00 | $806.30 | 2026-03-31 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $7.89 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $7.89 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | $7.89 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $7.89 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | $7.89 | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN ORRVILLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $7.89 | — | — | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | PPO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | HMO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | United Healthcare | Commercial | $8.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $8.35 | $107.05 | $107.05 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $8.35 | $107.05 | $107.05 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Optimum | MGMCR | $8.48 | $117.76 | $117.76 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Freedom Health | MCR | $8.48 | $117.76 | $117.76 | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $8.88 | $88.76 | $50.69 | 2026-02-28 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | United Healthcare | Commercial | $9.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI OutpatientFacility | United Healthcare | Commercial | $9.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | United Healthcare | Commercial | $9.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | United Healthcare | Commercial | $9.00 | $113.55 | $68.13 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $9.08 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | PPO | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $9.42 | $117.76 | $117.76 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $9.63 | $107.05 | $107.05 | 2024-10-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-18 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Charter | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Nexus | $10.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| Riverside Community Hospital Outpatient | MedCare Partners | MGMCR | $10.18 | $67.85 | $67.85 | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $767.04 | $498.58 | 2025-11-26 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | United Healthcare | Commercial | $11.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | United Healthcare | Commercial | $11.00 | $113.55 | $68.13 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA OutpatientFacility | United Healthcare | Commercial | $11.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | United Healthcare | Commercial | $11.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN OutpatientFacility | United Healthcare | Commercial | $11.00 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | United Healthcare | Commercial Broad | $11.00 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| ST JOSEPH'S BEHAVIORAL HEALTH CENTER Outpatient | DHR | Medicaid|All Plans | $11.54 | $115.40 | $65.90 | 2026-02-28 | MRF ↗ |
| Riverside Community Hospital Outpatient | Aetna | HMO | $12.21 | $67.85 | $67.85 | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Aetna | PPO | $12.21 | $67.85 | $67.85 | 2026-03-01 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Blue Shield CA | Commercial|Exchange | $12.43 | $88.76 | $24.77 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Blue Shield CA | Commercial|Exchange | $12.43 | $88.76 | $24.77 | 2026-02-28 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | Superior Health Plan | Medicaid | $12.49 | $113.55 | $68.13 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | Superior Health Plan | Medicaid | $12.49 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $12.49 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | Superior Health Plan | Medicaid | $12.49 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $12.49 | $113.55 | $68.13 | 2026-02-21 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | WCMG | Commercial|All Plans | $12.70 | $115.40 | $31.62 | 2026-02-28 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $12.70 | $115.40 | $31.62 | 2026-02-28 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $12.70 | $115.40 | $31.62 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL OF FOLSOM Inpatient | WCMG | Commercial|All Plans | $12.70 | $115.40 | $44.90 | 2026-02-28 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Truli for Health | COMMHMO | $13.49 | $107.05 | $107.05 | 2024-10-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | UHC STAR PLUS | 3752_CHIRP UHC STAR PLUS (NW) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | DELL CHIP/CHIP PERINATE | 3603_DELL CHIP/STAR KIDS (AUS) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | DELL CHIP/CHIP PERINATE | 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Both | BCBS STAR | 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | UHC STAR PLUS | 3746_CHIRP UHC STAR PLUS (AUS) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | SWHP RIGHTCARE STAR | 818_SWHP RIGHTCARE STAR INPATIENT 20240901 | $13.50 | $984.75 | $354.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | BCBS STAR | 3695_CHIRP BLUE CROSS STAR (EBD) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | UHC STAR | 929_UHC STAR INPATIENT 20250701 | $13.50 | $984.75 | $354.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | UHC STAR PLUS | 3750_CHIRP UHC STAR PLUS (EBD) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | SUPERIOR CHIP/CHIP PERINATE | 898_SUPERIOR CHIP INPATIENT 20240901 | $13.50 | $1,034.00 | $372.24 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | SUPERIOR STAR | 817_SUPERIOR STAR INPATIENT 20240901 | $13.50 | $1,034.00 | $372.24 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Both | BCBS STAR | 3694_CHIRP BLUE CROSS STAR (DEL) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | MOLINA MEDICAID REPLACEMENT CHIP | 891_MOLINA CHIP INPATIENT 20240901 | $13.50 | $984.75 | $354.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | WELLPOINT STAR PLUS | 3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | BCBS STAR | 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | MCLENNAN COUNTY INDIGENT | 933_MCLENNAN COUNTY INDIGENT INPATIENT 20250601 | $13.50 | $984.75 | $354.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | DELL CHIP/CHIP PERINATE | 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | BCBS CHIP/CHIP PERINATE | 3592_BLUE CROSS CHIP/STAR KIDS (AUS) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Both | WELLPOINT STAR | 3672_CHIRP WELLPOINT/AMERIGROUP STAR (DEL) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | DELL STAR | 3709_CHIRP DELL STAR (SHL) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | BCBS STAR | 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | WELLPOINT STAR PLUS | 3684_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (EBD) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | MEDICAID REPLACEMENT 100% | 816_MEDICAID REPLACEMENT 100% INPATIENT 20240901 | $13.50 | $1,034.00 | $372.24 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | UHC STAR PLUS | 852_UHC STAR PLUS INPATIENT 20240901 | $13.50 | $984.75 | $354.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | BCBS CHIP/CHIP PERINATE | 3599_BLUE CROSS CHIP/STAR KIDS (SHL) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | BCBS STAR | 3698_CHIRP BLUE CROSS STAR (SHL) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL STAR | 3707_CHIRP DELL STAR (HAY) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | WELLPOINT STAR | 3673_CHIRP WELLPOINT/AMERIGROUP STAR (EBD) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | DELL CHIP/CHIP PERINATE | 3610_DELL CHIP/STAR KIDS (SHL) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Both | UHC STAR PLUS | 3749_CHIRP UHC STAR PLUS (DEL) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Both | WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | UHC STAR PLUS | 3753_CHIRP UHC STAR PLUS (SHL) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS STAR | 3696_CHIRP BLUE CROSS STAR (HAY) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | BCBS STAR | 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL CHIP/CHIP PERINATE | 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR PLUS | 3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL CHIP/CHIP PERINATE | 3608_DELL CHIP/STAR KIDS (HAY) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS CHIP/CHIP PERINATE | 3597_BLUE CROSS CHIP/STAR KIDS (HAY) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Both | WELLPOINT STAR PLUS | 3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | WELLPOINT STAR PLUS | 3687_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (SHL) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | WELLPOINT STAR | 3676_CHIRP WELLPOINT/AMERIGROUP STAR (SHL) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR | 3740_CHIRP UHC STAR (HAY) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | WELLPOINT STAR | 3675_CHIRP WELLPOINT/AMERIGROUP STAR (NW) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR PLUS | 3751_CHIRP UHC STAR PLUS (HAY) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR | 3674_CHIRP WELLPOINT/AMERIGROUP STAR (HAY) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | UHC STAR | 3742_CHIRP UHC STAR (SHL) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | DELL STAR | 3706_CHIRP DELL STAR (EBD) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | SUPERIOR STAR PLUS | 856_SUPERIOR STAR PLUS INPATIENT 20240901 | $13.50 | $984.75 | $354.51 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | WELLPOINT STAR | 815_WELLPOINT (AMERIGROUP) STAR INPATIENT 20240901 | $13.50 | $1,034.00 | $372.24 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | UHC STAR KIDS | 4324_UHC STAR KIDS (EBD) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | WELLPOINT STAR PLUS | 3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR KIDS | 4325_UHC STAR KIDS (HAY) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | WELLPOINT STAR PLUS | 3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | UHC STAR KIDS | 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | BCBS CHIP/CHIP PERINATE | 3596_BLUE CROSS CHIP/STAR KIDS (EBD) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | BCBS CHIP/CHIP PERINATE | 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UHC STAR PLUS | 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | DELL STAR | 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELLPOINT STAR PLUS | 3685_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (HAY) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | UHC STAR | 3739_CHIRP UHC STAR (EBD) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | DELL CHIP/CHIP PERINATE | 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS STAR | 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,036.25 | $373.05 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | UHC STAR | 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | UHC STAR KIDS | 894_UHC STAR KIDS INPATIENT 20240901 | $13.50 | $1,034.00 | $372.24 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | WELLPOINT STAR | 3669_CHIRP WELLPOINT/AMERIGROUP STAR (AUS) INPATIENT 20240901 | $13.50 | $1,077.75 | $387.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | UHC STAR KIDS | 4327_UHC STAR KIDS (SHL) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Both | BCBS STAR | 974_BCBS STAR INPATIENT 20240901 | $13.50 | $984.75 | $354.51 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | DELL CHIP/CHIP PERINATE | 3607_DELL CHIP/STAR KIDS (EBD) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | WELLPOINT STAR | 3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901 | $13.50 | $1,812.00 | $652.32 | 2026-01-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.